032701486-7-30-2025-27-AS-SRIN-DKRVFB-20250821162342

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 032701486
Report Date: 07/30/2025
Date Signed: 07/30/2025 02:06:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/03/2025 and conducted by Evaluator Arvin Villanueva

COMPLAINT CONTROL NUMBER: 27-AS-20250703113144

FACILITY NAME:	LIVEWELL CARE HOME LLC		FACILITY NUMBER:	032701486
ADMINISTRATOR:	KAREN ORR		FACILITY TYPE:	735
ADDRESS:	290 GOLD STRIKE CT		TELEPHONE:	(302) 893-3498
CITY:	SUTTER CREEK	STATE: CA	ZIP CODE:	95685
CAPACITY:	4	CENSUS: 4	DATE:	07/30/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jonathan Li		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility is in disrepair.
Facility is not being maintained.

INVESTIGATION FINDINGS:

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On 7/30/20125, Licensing Program Analyst, Arvin Villanueva arrived at this facility unannounced to conduct a follow up complaint visit and deliver findings of the allegations noted above. LPA met with Licensee/Administrator, Jonathan Li, and stated the purpose of the visit.

The investigation into the allegation that the facility is in disrepair consisted of interviews, record reviews and observation.
Although there were reports of minor maintenance issues, the evidence indicates that the Licensee responded to concerns. On June 26, 2025, the former staff notified the Licensee via email that two exercise machines were not working due to an outlet issue in the workout room, which also caused food to begin thawing in a freezer. A text response later that day confirmed that the Licensee had scheduled an electrician to service the issue the following day. A record review of the invoice dated July 14, 2025, confirmed that the repair was completed.
{con't to 9099-C}

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250703113144

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LIVEWELL CARE HOME LLC	FACILITY NUMBER: 032701486
	VISIT DATE: 07/30/2025

NARRATIVE

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Similarly, a June 15, 2025 email from the former staff reported that the dryer was not heating. The Licensee responded the next day, stating that repair was scheduled, which were completed on June 19, 2025, as verified by an invoice.
During interviews, client stated that the circuit breaker issue made the gym equipment unusable for approximately two weeks. Another client confirmed the same issue for the equipment and added that the issue has since been resolved. Same client also reported a loose bed headboard, which was fixed after notifying the Licensee.
During a facility observation conducted on July 10, 2025, the LPA observed a square opening above the laundry closet with exposed wiring. However, the opening was located high on the wall and out of reach of clients, and there was no indication that the wire was hazardous. Cosmetic issues were also observed, such as a stained carpet in the upstairs hallway, a wall near the downstairs thermostat that needed touch-up paint, and a broken toilet paper holder in the upstairs bathroom. A freestanding toilet paper holder was in place, and advisories were issued to the Licensee to replace or remove the broken fixture and consider cleaning the carpet and painting the wall.
While these findings demonstrate isolated maintenance needs, they do not rise to the level of the facility being in disrepair. Therefore, the allegation is UNSUBSTANTIATED.

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The investigation into the allegation that facility is not being maintained consisted of interviews and record reviews.

A review of records shows monthly yard maintenance by Yard Maintenance Company, with invoices dated 5/3/2025, 6/2/2025, and 7/2/2025 for services provided in April, May, and June 2025. Each invoice indicates maintenance was performed at least monthly. In addition, an email dated June 26, 2025, from the former staff to the Licensee reported two non-working exercise machines and thawing food in a freezer, both related to an outlet issue in the workout room. A follow-up text from the Licensee later that day confirmed receipt of the concern and that a repair company was scheduled to repair the issue the following day. A service invoice from the repair company dated 7/14/2025 confirmed the outlet repair was completed at a cost of $300. In a separate matter, an email dated June 15, 2025, indicated the facility’s dryer had stopped working. The Licensee responded on June 16, 2025, confirming that a repair company would perform the repair, which was completed on June 19, 2025, as documented in an invoice showing diagnostic, cleaning, and repair services totaling $349.42. {con't to 9099-C}

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250703113144

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LIVEWELL CARE HOME LLC	FACILITY NUMBER: 032701486
	VISIT DATE: 07/30/2025

NARRATIVE

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Client interviews showed mixed perceptions about yard maintenance; one client confirmed the presence of gardeners and noted recent trimming of hedges and rose bushes, while another client felt the gardeners only blew leaves and did not trim regularly. Although individual expectations about how the yard and facility should be maintained, some evidence confirmed that the Licensee has taken steps to maintain both the facility and its grounds. Therefore, the allegation is UNSUBSTANTIATED.

A finding of unsubstantiated means that although the allegation may have happened the preponderance of evidence does not prove it.

An exit interview was conducted and a copy of this report and appeal rights were provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

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